Organization Active NPI

Sherris Pharmacy Service

  • Community/Retail Pharmacy
  • Grant City, MO
National Provider Identifier
1487988937
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2009029523 Issued in MO
Legal business name
SHERRIS PHARMACY SERVICE
Practice address
108 S Main St
Grant City, MO 64456-8321
Phone
(660) 564-3784
Fax
(660) 564-3786
NPI assigned
Sep 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sherri James
Title
Pres.
Phone
(660) 564-3784

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2009029523 MO Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

108 S Main St
Grant City, MO 64456-8321

Mailing address

PO Box 267
Grant City, MO 64456-0267
Phone (660) 564-3784

Other identifiers 2

IdentifierTypeStateIssuer
606441806MedicaidMO
2122187OtherPK

Other names 1

  • Sherri's Pharmacy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071937 MO DME Supplier - Pharmacy 4385834472 Practice locations: Grant City, MO
O20210203001140 MO Part B Supplier - Mass Immunization (Roster Biller Only) 4385834472 Practice locations: Grant City, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2000805Sherri'S Pharmacy Services108 S Main Street, Grant City, MO 64456Certificate of waiverDec 6, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sherris Pharmacy Service108 S Main St, Grant City, MO 64456-0267(660) 564-3784 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Locations

108 E 1st St
Ste A
Grant City, MO 64456
Phone (660) 564-3784

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1487988937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "644560267",
            "telephone_number": "660-564-3784",
            "fax_number": "660-564-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "GRANT CITY",
            "state": "MO",
            "postal_code": "644568321",
            "telephone_number": "660-564-3784",
            "fax_number": "660-564-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIS PHARMACY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "660-564-3784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2009029523",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606441806",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherri's Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sherri's Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grant City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.